Villarroel, Juan

Villarroel, Juan is an individual health care provider with primary practice located at 4850 W Oakland Park Blvd Ste 148 , Lauderdale Lakes FL 33313-7277. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Villarroel, Juan can be contacted via phone (954) 735-1200.

Contact Information

Primary practice address
4850 W Oakland Park Blvd Ste 148 Lauderdale Lakes FL 33313-7277
Phone: (954) 735-1200
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0061445 Florida

Profile Details

NPI number 1174577506
LBN Legal business name Villarroel, Juan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174577506 NPPES
Florida Other ME0061445 MEDICAL LICENSE
Florida MEDICAID 373244400 MEDICAL LICENSE

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